How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.05 Typical High $19.05 | Professional | None | $18.20 | $19.05 | $19.05 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.88 Median $794.33 Typical High $1,621.81 | Facility | None | $33.88 | $794.33 | $1,621.81 |
BCBS Minnesota Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $52.48 | Professional | None | $26.92 | $37.15 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $60.26 Typical High $169.82 | Facility | None | $39.81 | $60.26 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $40.74 Typical High $66.07 | Professional | None | $25.70 | $40.74 | $66.07 |
Health Partners Setting Facility Modifier None Typical Low $36.31 Median $57.54 Typical High $134.90 | Facility | None | $36.31 | $57.54 | $134.90 |
Health Partners Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $58.88 | Professional | None | $28.84 | $38.02 | $58.88 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $30.20 Typical High $40.74 | Facility | None | $23.99 | $30.20 | $40.74 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $38.90 Typical High $162.18 | Professional | None | $19.50 | $38.90 | $162.18 |
United Setting Professional Modifier None Typical Low $18.62 Median $32.36 Typical High $60.26 | Professional | None | $18.62 | $32.36 | $60.26 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $9.55 Median $9.55 Typical High $9.55 | Facility | 52 · Reduced service | $9.55 | $9.55 | $9.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | 53 · Discontinued | $3.80 | $3.80 | $3.80 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | 55 · Aftercare only | $2.88 | $2.88 | $2.88 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $1.91 Median $1.91 Typical High $1.91 | Facility | 56 · Pre-op care only | $1.91 | $1.91 | $1.91 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.12 Median $9.55 Typical High $9.55 | Professional | 52 · Reduced service | $9.12 | $9.55 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.80 Typical High $3.80 | Professional | 53 · Discontinued | $3.63 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $2.88 Typical High $2.88 | Professional | 55 · Aftercare only | $2.69 | $2.88 | $2.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.82 Median $1.91 Typical High $1.91 | Professional | 56 · Pre-op care only | $1.82 | $1.91 | $1.91 |
Where Minnesota sits
The same service costs 3.4 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 7th of 51
$34.67
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.